﻿@{
    ViewBag.Title = "Lndmlmr";
}
<!DOCTYPE html>
<html>
<head>
    <meta name="viewport" content="width=device-width" />
    <title>颅内动脉瘤手术</title>
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    <style>
       body{overflow-x:auto;margin:5px;min-width:900px;}
	.radio_label{display:inline-block;width:auto;height:22px;background:url(/content/images/radiobutton.png) no-repeat;background-position:-13px -16px;text-indent:22px;line-height:22px;}
	.radio_label:hover{background-position:-13px -116px;}
	input[type=radio]{width:0;}
	.checkbox_label{display:inline-block;width:auto;height:22px;background:url(/content/images/checkboxbutton.png) no-repeat;background-position:-13px -16px;text-indent:22px;line-height:22px;}
	.checkbox_label:hover{background-position:-13px -116px;}
	.checked{background-position:-13px -216px;}
	.checked:hover{background-position:-13px -216px;}
	input[type=checkbox]{width:0;}
    </style>
</head>
<body>
    <form method="post" id="formSubmit">
        <div class="l-loading" style="display: none;" id="pageloading">
        </div>
        <div class="topPosition">
            <div style="float:left;font-size:13px;">
                <div style="float:left; margin-left:20px;">
                    手术类型：颅内动脉瘤手术
                </div>
            </div>
            <div style="float:right;margin-right:10px;">
                <input type="hidden" id="txtPIId" value="" />
                <input type="hidden" id="txtAIId" value="" />
                <input type="hidden" id="txtPCId" value="" />
                <input type="hidden" id="txtPSId" value="" />
                <input type="hidden" id="txtPatientId" value="@ViewBag.patientId" />
                <input id="btnHisback" type="button" value="返回" class="l-button" style="height:26px;" />
                <input id="btnTimeLine" type="button" value="时间轴" class="l-button" style="height:26px;" />
                <input id="btnTimePath" type="button" value="时间路径" class="l-button" style="height:26px;" />
                <input id="btnPrint" type="button" value="打印" class="l-button" style="height:26px;" />
                <input id="btnDel" type="button" value="删除" class="l-button" style="height:26px;" />
                <input id="btnSave" type="button" value="保存" class="l-button" style="height:26px;" />
                <input id="btnReview" type="button" value="审核" class="l-button" style="height:26px;display:none;" />
            </div>
        </div>
        <div style="height:100%;">
            <div class="lift-nav">
                <ul class="lift">
                    <li>基本信息</li>
                    <li>入院评估</li>

                    <li>脑血管影像</li>
                    <li>手术操作</li>
                    <li>康复治疗</li>

                    <li>健康教育</li>
                    <li>出院情况</li>
                </ul>
            </div>
            <div class="lift-target">
                <div class="t0" style="margin-top:55px;height:auto;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>基本信息</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">姓名：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtrealName" name="txtrealName" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    性别：
                                    <label><input class="l-radio" type="radio" id="rdogender1" name="rdogender" value="1" />男</label>
                                    <label><input class="l-radio" type="radio" id="rdogender0" name="rdogender" value="0" />女</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    民族： <input type="text" id="txtethnic" name="txtethnic" class="l-text" />
                                </div>

                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">身份证：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtIDcard" name="txtIDcard" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    住院时间： <input type="text" id="txtlivePtime" name="txtlivePtime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">住院号：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlivePid" name="txtlivePid" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    病人编号： <input type="text" id="txtpatId" name="txtpatId" class="l-text" readonly="readonly" />
                                </div> <div style="float:left;height:35px;line-height:35px;margin-left:27px;display:none;">
                                    病案号： <input type="text" id="txtpataId" name="txtpataId" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">医疗付款方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance0" name="chkmedicalinsurance" value="0" />城镇职工基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance1" name="chkmedicalinsurance" value="1" />城镇居民基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance2" name="chkmedicalinsurance" value="2" />新型农村合作医疗</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance3" name="chkmedicalinsurance" value="3" />贫困救助</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance4" name="chkmedicalinsurance" value="4" />商业医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance5" name="chkmedicalinsurance" value="5" />全公费</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance6" name="chkmedicalinsurance" value="6" />全自费</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance7" name="chkmedicalinsurance" value="7" />其他社会保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance8" name="chkmedicalinsurance" value="8" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">住院次数：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlivePcount" name="txtlivePcount" class="l-text" typeof="number" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    发病：
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow0" value="0" />已知</label>
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow1" value="1" />未知</label>
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow2" value="2" />醒后卒中</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    发病时间： <input type="text" id="txtilltime" name="txtilltime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">是否在院卒中：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoisinhospill" id="rdoisinhospill1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdoisinhospill" id="rdoisinhospill0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    到院时间： <input type="text" id="txtcomedTime" name="txtcomedTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">来院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType0" value="0" />本院急救车</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType1" value="1" />当地120</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType2" value="2" />外院转院</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType3" value="3" />自行来院</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">入院途径：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType0" value="0" />急诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType1" value="1" />门诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType2" value="2" />其他医疗机构转入</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>

                <div class="t1" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>入院评估</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">身高(cm)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpheigh" name="txtpheigh" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体重(kg)： <input type="text" id="txtpweight" name="txtpweight" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    BMI(kg/㎡)： <input type="text" id="txtbmiVal" name="txtbmiVal" class="l-text" typeof="float" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">收缩压(mmHg)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpssyVal" name="txtpssyVal" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    舒张压(mmHg)： <input type="text" id="txtpszyVal" name="txtpszyVal" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    脉搏(次/分)： <input type="text" id="txtpmbVal" name="txtpmbVal" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">动脉瘤临床分类：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdodmllcType" id="rdodmllcType0" value="0" />本次破裂致蛛网膜下腔出血</label>
                                    <label><input type="radio" class="l-radio" name="rdodmllcType" id="rdodmllcType1" value="1" />本次破裂致蛛网膜下腔出血合并脑出血</label>
                                    <label><input type="radio" class="l-radio" name="rdodmllcType" id="rdodmllcType2" value="2" />未破裂</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">既往动脉瘤破裂史：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoywjwdmlpls" id="rdoywjwdmlpls1" value="1" />有</label>
                                    <label><input type="radio" class="l-radio" name="rdoywjwdmlpls" id="rdoywjwdmlpls0" value="0" />无</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">入院mRS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinismRs" id="comeinismRs1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinismRs" id="comeinismRs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinismRsYes">
                                    评分分数： <input type="text" id="txtcomeinmRs" name="txtcomeinmRs" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">入院NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNihss" id="rdocomeinisNihss1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNihss" id="rdocomeinisNihss0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisNihssYes">
                                    评分分数： <input type="text" id="txtcomeinNihss" name="txtcomeinNihss" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">GCS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisGcs" id="comeinisGcs1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisGcs" id="comeinisGcs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisGcsYes">
                                    评分分数： <input type="text" id="txtcomeinGcs" name="txtcomeinGcs" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">Hunt-Hess分级：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisHH" id="rdocomeinisHH1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisHH" id="rdocomeinisHH0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisHHYes">
                                    分级： <input type="text" id="txtcomeinHH" name="txtcomeinHH" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">Fisher 分级：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisFisher" id="comeinisFisher1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisFisher" id="comeinisFisher0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisFisherYes">
                                    分级： <input type="text" id="txtcomeinFisher" name="txtcomeinFisher" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">是否脑疝：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNs" id="rdocomeinisNs1" value="1" />是</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNs" id="rdocomeinisNs0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    尼莫地平预防血管痉挛治疗：
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNmdpyfxgjlzl" id="rdocomeinisNmdpyfxgjlzl1" value="1" />是</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNmdpyfxgjlzl" id="rdocomeinisNmdpyfxgjlzl0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>

                    </table>
                </div>
                <div class="t2" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>脑血管影像</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">颅内血管检查方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input class="l-checkbox" type="checkbox" name="cbxlnxgChkType" id="cbxlnxgChkType0" value="0" />CTA</label>
                                    <label><input class="l-checkbox" type="checkbox" name="cbxlnxgChkType" id="cbxlnxgChkType1" value="1" />MRA</label>
                                    <label><input class="l-checkbox" type="checkbox" name="cbxlnxgChkType" id="cbxlnxgChkType2" value="2" />DSA</label>
                                    <label><input class="l-checkbox" type="checkbox" name="cbxlnxgChkType" id="cbxlnxgChkType3" value="3" />未查</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    动脉瘤数量： <input type="text" id="txtdmlCount" name="txtdmlCount" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">动脉瘤责任血管部位：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-checkbox" type="checkbox" name="cbxdmlzrxgbodyareal" id="cbxdmlzrxgbodyareal" value="0" />左侧</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    大小：
                                    长:<input type="text" id="txtdmlzrxgbaLength" name="txtdmlzrxgbaLength" class="l-text" style="width:60px;" typeof="float" />
                                    宽:<input type="text" id="txtdmlzrxgbaLWeith" name="txtdmlzrxgbaLWeith" class="l-text" style="width:60px;" typeof="float" />
                                    高:<input type="text" id="txtdmlzrxgbaLHeigh" name="txtdmlzrxgbaLHeigh" class="l-text" style="width:60px;" typeof="float" />
                                    瘤颈:<input type="text" id="txtdmlzrxgbaLlj" name="txtdmlzrxgbaLlj" class="l-text" style="width:60px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">类型：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLType" id="rdodmlzrxgbaLType0" value="0" />梭形</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLType" id="rdodmlzrxgbaLType1" value="1" />囊状</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLType" id="rdodmlzrxgbaLType2" value="2" />夹层</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLType" id="rdodmlzrxgbaLType3" value="3" />假性动脉瘤</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">部位：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo0" value="0" />1.颈内动脉ICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo1" value="1" />2.后交通动脉PComA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo2" value="2" />3.脉络膜前动脉AChA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo3" value="3" />4.大脑前动脉ACA</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo4" value="4" />5.前交通动脉AcomA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo5" value="5" />6.大脑中动脉MCA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo6" value="6" />7.椎动脉VA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo7" value="7" />8.基底动脉BA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo8" value="8" />9.大脑后动脉PCA</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo9" value="9" />10.小脑前下动脉AICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo10" value="10" />11.小脑后下动脉PICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo11" value="11" />12.小脑上动脉SCA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaLinfo" id="rdodmlzrxgbaLinfo12" value="12" />13.其他</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">动脉瘤责任血管部位：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-checkbox" type="checkbox" name="cbxdmlzrxgbodyarear" id="cbxdmlzrxgbodyarear0" value="0" />右侧</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    大小：
                                    长:<input type="text" id="txtdmlzrxgbaRength" name="txtdmlzrxgbaRength" class="l-text" style="width:60px;" typeof="float" />
                                    宽:<input type="text" id="txtdmlzrxgbaRWeith" name="txtdmlzrxgbaRWeith" class="l-text" style="width:60px;" typeof="float" />
                                    高:<input type="text" id="txtdmlzrxgbaRHeigh" name="txtdmlzrxgbaRHeigh" class="l-text" style="width:60px;" typeof="float" />
                                    瘤颈:<input type="text" id="txtdmlzrxgbaRlj" name="txtdmlzrxgbaRlj" class="l-text" style="width:60px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">类型：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRType" id="rdodmlzrxgbaRType0" value="0" />梭形</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRType" id="rdodmlzrxgbaRType1" value="1" />囊状</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRType" id="rdodmlzrxgbaRType2" value="2" />夹层</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRType" id="rdodmlzrxgbaRType3" value="3" />假性动脉瘤</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">部位：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo0" value="0" />1.颈内动脉ICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo1" value="1" />2.后交通动脉PComA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo2" value="2" />3.脉络膜前动脉AChA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo3" value="3" />4.大脑前动脉ACA</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo4" value="4" />5.前交通动脉AcomA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo5" value="5" />6.大脑中动脉MCA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo6" value="6" />7.椎动脉VA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo7" value="7" />8.基底动脉BA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo8" value="8" />9.大脑后动脉PCA</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo9" value="9" />10.小脑前下动脉AICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo10" value="10" />11.小脑后下动脉PICA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo11" value="11" />12.小脑上动脉SCA</label>
                                    <label> <input class="l-radio" type="radio" name="rdodmlzrxgbaRinfo" id="rdodmlzrxgbaRinfo12" value="12" />13.其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>

                <div class="t3" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>手术操作</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">手术类型：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input class="l-radio" type="radio" id="rdodmlssopType0" name="rdodmlssopType" value="0" />介入栓塞术</label>
                                    <label><input class="l-radio" type="radio" id="rdodmlssopType1" name="rdodmlssopType" value="1" />夹闭术</label>
                                    <label><input class="l-radio" type="radio" id="rdodmlssopType2" name="rdodmlssopType" value="2" />复合手术</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    手术时间： <input type="text" id="txtdmlssopTime" name="txtdmlssopTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">夹闭术：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    动脉瘤治疗结果:
                                    <label><input class="l-radio" type="radio" id="rdodmlzlres0" name="rdodmlzlres" value="0" />完全闭塞</label>
                                    <label><input class="l-radio" type="radio" id="rdodmlzlres1" name="rdodmlzlres" value="1" />瘤颈残留</label>
                                    <label><input class="l-radio" type="radio" id="rdodmlzlres2" name="rdodmlzlres" value="2" />部分瘤体残留</label>
                                    <label><input class="l-radio" type="radio" id="rdodmlzlres3" name="rdodmlzlres" value="3" />瘤体残留</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    夹闭后载瘤动脉情况：
                                    <label><input class="l-radio" type="radio" id="rdojbhzldmqk0" name="rdojbhzldmqk" value="0" />通畅</label>
                                    <label><input class="l-radio" type="radio" id="rdojbhzldmqk1" name="rdojbhzldmqk" value="1" />轻度狭窄（＜50%）</label>
                                    <label><input class="l-radio" type="radio" id="rdojbhzldmqk2" name="rdojbhzldmqk" value="2" />严重狭窄（＞50%）</label>
                                    <label><input class="l-radio" type="radio" id="rdojbhzldmqk3" name="rdojbhzldmqk" value="3" />完全闭塞</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    夹闭术过程中并发症：
                                    <label><input class="l-radio" type="radio" id="rdoisjbsingbfz1" name="rdoisjbsingbfz" value="1" />有</label>
                                    <label><input class="l-radio" type="radio" id="rdoisjbsingbfz0" name="rdoisjbsingbfz" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoisjbsingbfzYes">
                                    并发症：
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjbsingbfz0" name="cbxjbsingbfz" value="0" />载瘤动脉闭塞</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjbsingbfz1" name="cbxjbsingbfz" value="1" />术中动脉瘤破裂</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjbsingbfz2" name="cbxjbsingbfz" value="2" />动脉瘤附近穿支血管闭塞</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjbsingbfz3" name="cbxjbsingbfz" value="3" />其它</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">介入栓塞术：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    介入途径：
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjrsss0" name="cbxjrsss" value="0" />股动脉</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxjrsss1" name="cbxjrsss" value="1" />桡动脉</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    弹簧圈：
                                    <label><input class="l-radio" type="radio" id="rdoishavethq1" name="rdoishavethq" value="1" />有</label>
                                    <label><input class="l-radio" type="radio" id="rdoishavethq0" name="rdoishavethq" value="0" />无</label>

                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishavethqYes">
                                    个数： <input type="text" id="txtthqCount" name="txtthqCount" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    支架：
                                    <label><input class="l-radio" type="radio" id="rdoishavezj1" name="rdoishavezj" value="1" />有</label>
                                    <label><input class="l-radio" type="radio" id="rdoishavezj0" name="rdoishavezj" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishavezjYes">
                                    支架名称：
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName0" name="cbxssopzjName" value="0" />Wingspan</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName1" name="cbxssopzjName" value="1" />Solitaire</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName2" name="cbxssopzjName" value="2" />Enterprise</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName3" name="cbxssopzjName" value="3" />Lvis</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName4" name="cbxssopzjName" value="4" />neuroform</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName5" name="cbxssopzjName" value="5" />Pipeline</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName6" name="cbxssopzjName" value="6" />tubridge</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopzjName7" name="cbxssopzjName" value="7" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    球囊：
                                    <label><input class="l-radio" type="radio" id="rdossopqn1" name="rdossopqn" value="1" />有</label>
                                    <label><input class="l-radio" type="radio" id="rdossopqn2" name="rdossopqn" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdossopqnYes">
                                    个数：<input type="text" id="txtssopqnCount" name="txtssopqnCount" class="l-text" typeof="number" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    其他栓塞材料：
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopothersscl0" name="cbxssopothersscl" value="0" />Glubra</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopothersscl1" name="cbxssopothersscl" value="1" />onyx</label>
                                    <label><input class="l-checkbox" type="checkbox" id="cbxssopothersscl2" name="cbxssopothersscl" value="2" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    动脉瘤治疗结果：
                                    <label><input class="l-radio" type="radio" id="rdossopdmlzlres0" name="rdossopdmlzlres" value="0" />完全闭塞</label>
                                    <label><input class="l-radio" type="radio" id="rdossopdmlzlres1" name="rdossopdmlzlres" value="1" />瘤颈残留</label>
                                    <label><input class="l-radio" type="radio" id="rdossopdmlzlres2" name="rdossopdmlzlres" value="2" />部分瘤体残留</label>
                                    <label><input class="l-radio" type="radio" id="rdossopdmlzlres3" name="rdossopdmlzlres" value="3" />瘤体残留</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    载瘤动脉情况：
                                    <label><input class="l-radio" type="radio" id="rdossopzldmqk0" name="rdossopzldmqk" value="0" />无弹簧圈突出</label>
                                    <label><input class="l-radio" type="radio" id="rdossopzldmqk1" name="rdossopzldmqk" value="1" />有弹簧圈突出</label>
                                    <label><input class="l-radio" type="radio" id="rdossopzldmqk2" name="rdossopzldmqk" value="2" />载瘤动脉闭塞</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    栓塞术过程中并发症：
                                    <label><input class="l-radio" type="radio" id="rdoishavesssingbfz1" name="rdoishavesssingbfz" value="1" />有</label>
                                    <label><input class="l-radio" type="radio" id="rdoishavesssingbfz0" name="rdoishavesssingbfz" value="0" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdoishavesssingbfzYes">
                            <td style="width:130px; text-align: right;"></td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    并发症：
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender0" name="cbxsssingbfz" value="0" />急性血栓形成</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender1" name="cbxsssingbfz" value="1" />非载瘤动脉流域的血管</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender2" name="cbxsssingbfz" value="2" />动脉瘤破裂</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender3" name="cbxsssingbfz" value="3" />动脉瘤附近穿支血管闭塞</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender4" name="cbxsssingbfz" value="4" />动脉夹层</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender5" name="cbxsssingbfz" value="5" />穿刺部位并发症</label>
                                    <label><input class="l-checkbox" type="checkbox" id="rdogender6" name="cbxsssingbfz" value="6" />其它术中并发症</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>

                <div class="t4" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>康复治疗</h3>
                                <hr />
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">接受康复治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmliskfzl" id="rdolndmliskfzl1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmliskfzl" id="rdolndmliskfzl0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmliskfzlYes1">
                            <td style="width:130px; text-align: right;">康复治疗方式：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px; ">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType0" value="0" />传统康复(针灸/推拿)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType1" value="1" />运动疗法(PT)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType2" value="2" />作业疗法(OT)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType3" value="3" />言语训练(ST)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType4" value="4" />其他(认知训练/吞咽治疗/心理治疗/理疗)</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmliskfzlYes2">
                            <td style="width:130px; text-align: right;">康复治疗场所：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlAddr" id="cbxlndmlkfzlAddr0" value="0" />床旁</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlAddr" id="cbxlndmlkfzlAddr1" value="1" />康复科</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t5" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>健康教育</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">健康宣教：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlheathisxj" id="rdolndmlheathisxj1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlheathisxj" id="rdolndmlheathisxj0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlheathisxjYes">
                                    宣教方式：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType0" value="0" />集体病区教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType1" value="1" />一对一教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType2" value="2" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t6" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>出院情况</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlndmlexitPtime" name="txtlndmlexitPtime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">离院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType0" value="0" />医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType1" value="1" />医嘱转院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType2" value="2" />医嘱转社区服务机构/乡镇卫生院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType3" value="3" />非医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType4" value="4" />死亡</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType5" value="5" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmlexitPTypeYes1">
                            <td style="width:130px; text-align: right;">死亡时间：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <input type="text" id="txtlndmldieTime" name="txtlndmldieTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmlexitPTypeYes2">
                            <td style="width:130px; text-align: right;">死亡原因：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason0" value="0" />呼吸循环衰竭</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason1" value="1" />脑血管病</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason2" value="2" />肺部感染</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason3" value="3" />上消化道出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason4" value="4" />急性肾功能衰竭</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmlexitPTypeYes3">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason5" value="5" />损伤和中毒</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason7" value="7" />不详</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院mRS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlleavehospismRs" id="rdolndmlleavehospismRs1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlleavehospismRs" id="rdolndmlleavehospismRs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlleavehospismRsYes">
                                    评分：<input type="text" id="txtlndmlleavehospmRs" name="txtlndmlleavehospmRs" class="l-text" typeof="float" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisNihss" id="rdolndmlexitisNihss1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisNihss" id="rdolndmlexitisNihss0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlexitisNihssYes">
                                    评分：<input type="text" id="txtlndmlleavehospNihss" name="txtlndmlleavehospNihss" class="l-text" typeof="float" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院GCS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisGcs" id="rdolndmlexitisGcs1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisGcs" id="rdolndmlexitisGcs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlexitisGcsYes">
                                    评分：<input type="text" id="txtlndmlexitGcs" name="txtlndmlexitGcs" class="l-text" typeof="float" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院带药：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy0" value="0" />降压药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy1" value="1" />降糖药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy2" value="2" />调脂药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy3" value="3" />抗凝药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy4" value="4" />抗血小板药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy5" value="5" />中药治疗</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy7" value="7" />无</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
            </div>
        </div>
    </form>
</body>
</html>